2012-11-12T10:26:21-06:00 2011-12-31 930418710 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 990 2011-01-01 930583856 COLUMBIA LUTHERAN CHARITIES COLU 5033254321 2111 EXCHANGE STREET ASTORIA OR 971033329 WILLIAM G RIVERS 5033254321 2012-10-05 1 WESLEY B HANSEN P00226581 5036974118 2011 2016-02-24 21:20:13Z COLUMBIA MEMORIAL HOSPITAL WILLIAM G RIVERS 2111 EXCHANGE STREET ASTORIA OR 971033329 71061682 0 X WWW.COLUMBIAMEMORIAL.ORG X 1958 OR PROVIDE EXCELLENCE, LEADERSHIP & COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 14 13 528 60 0 0 625022 103601 58882182 66254871 762386 505421 640074 1923423 60909664 68787316 66220 120148 0 0 32926677 36566995 27000 27000 278984 24171253 27676408 57191150 64390551 3718514 4396765 62073504 64810107 35069993 36176559 27003511 28633548 X THE MISSION OF COLUMBIA MEMORIAL HOSPITAL IS TO PROVIDE EXCELLENCE, LEADERSHIP, AND COMPASSION IN THE ENHANCEMENT OF HEALTH FOR THOSE WE SERVE. 0 0 56907729 120148 68208853 SEE SCHEDULE O 56907729 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 1 1 1 0 0 1 151 0 1 528 1 0 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 0 OR X WILLIAM G RIVERS CFO 5033387505 2111 EXCHANGE STREET ASTORIA OR 97103 RANDY STEMPER 3.00 X 0 0 0 MALCOLM SMITH 3.00 X 0 0 0 BILL LIND 3.00 X 0 0 0 HEATHER SEPPA 3.00 X 0 0 0 NANCY MCALLISTER 3.00 X 0 0 0 KEVIN BAXTER 3.00 X 0 0 0 KATHERINE HELLBERG 3.00 X 0 0 0 BILL LANDWEHR 3.00 X 0 0 0 ED NELSON JR 3.00 X 0 0 0 DAVID PHILLIPS 3.00 X 0 0 0 PAUL F VOELLER 3.00 X 0 0 0 CONSTANCE WAISANEN 3.00 X 0 0 0 NORMAN SHATTO 3.00 X 0 0 0 ROBERT HOLLAND 40.00 X 285745 0 37580 ERIK THORSEN 40.00 X 304520 0 25320 WILLIAM G RIVERS 40.00 X 169898 0 37644 RICHARD CRASS 40.00 X 343251 0 29162 EDOUARD DURET 40.00 X 333752 0 38464 RANDALL JOHNSON 40.00 X 276286 0 17215 WILLIAM LACOST 40.00 X 515926 0 70780 LESLIE BLASEWITZ 40.00 X 240466 0 32668 2469844 0 288833 42 1 1 0 RICKENBACH CONSTRUCTION PO BOX 5837 ALOHA OR 97006 GENERAL CONTRACTOR 2663991 NORTH COAST EMERGENCY PHYSICIANS 2111 EXCHANGE ST ASTORIA OR 97103 EMERGENCY ROOM PHYSICIANS 1840449 CPSI 6600 WALL ST MOBILE AL 36695 SOFTWARE SUPPORT 675030 PETER STOLOFF PC 5285 MEADOWS RD SUITE 235 LAKE OSWEGO OR 97035 ATTORNEY 143928 DELAP LLP 5885 MEADOWS ROAD NO 200 LAKE OSWEGO OR 97035 ACCOUNTING 135991 12 15567 17513 70521 103601 OUTPATIENT REVENUE 621990 61710016 61710016 INPATIENT REVENUE 900099 25127851 25127851 EMERGENCY ROOM REVENUE 900099 24941069 24941069 PROVISION FOR CHARITY 900099 -2261310 -2261310 CONTRACTUAL ALLOWANCE 900099 -43262755 -43262755 66254871 432188 432188 320442 525326 -204884 -204884 -204884 1820373 1900 1749040 0 71333 1900 73233 73233 1047 0 1047 1047 JOINT VENTURE 621500 700976 700976 MEANINGFUL USE REVENUE 900099 627027 627027 CAFETERIA AND VENDING 722210 174325 174325 624932 624932 2127260 68787316 68208853 0 474862 117872 117872 2276 2276 930090 809415 120675 25516461 22889464 2558095 68902 1726567 1676147 44033 6387 6293428 5532015 735956 25457 2100449 1887827 199320 13302 109133 54428 54705 157226 141901 15325 27000 27000 32189 32189 6047316 5650041 397275 357308 72987 284321 9090201 8664998 423144 2059 798634 525302 273332 689359 635762 53597 292626 97440 195186 219379 217726 1653 176522 135039 41483 2676919 2385529 291390 603464 167772 435692 BAD DEBT EXPENSE 4838794 4838794 REPAIRS AND MAINTENANCE 895021 892292 2729 RECRUITMENT FEES 203489 193606 9883 488828 270412 218539 -123 64390551 56907729 7203838 278984 3863253 4219237 11870113 11558704 279430 271616 1000582 1055965 1120305 1167278 52240968 25297149 27489579 26943819 13820037 14048998 208315 216193 2421890 5328297 62073504 64810107 7408383 7083599 20342972 19169761 7318638 9923199 35069993 36176559 X 27003511 28633548 27003511 28633548 62073504 64810107 X 4396765 -2766728 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 788734 788734 21337358 9873328 11464030 705549 54242 651307 28949563 15369579 13579984 459764 459764 26943819 BOARD DESIGNATED - FUNDED DEPRECIATION 11689051 F HELD BY TRUSTEE UNDER BOND INDENTURE AGR 1834731 F BOARD DESIGNATED - HOSPICE 521566 F BOARD DESIGNATED - CHAPLIANCY 3650 F 14048998 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT RECEIVABLE 543000 RENTAL AND OTHER PROPERTY HELD FOR FUTURE DEVELOPMENT 2584179 OTHER ASSETS 2201118 5328297 DEFERRED COMPENSATION 48180 UNEARNED GRANT REVENUE 300000 MEDICAL MALPRACTICE CLAIMS 432607 RETIREMENT PLAN LIABILITY 9142412 9923199 68787316 64390551 4396765 -237304 -2529424 -2766728 1630037 68709300 -229080 525326 296246 68413054 374262 374262 68787316 64549839 525326 525326 64024513 366038 366038 64390551 PART XI, LINE 8 - OTHER ADJUSTMENTS: DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -2,537,648. NET ASSETS RELEASED FROM RESTRICTION 8,224. TOTAL TO SCHEDULE D, PART XI, LINE 8: -2,529,424. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 525,326. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS OTHER INCOME 366,038. CONTRIBUTION FROM CMH FOUNDATION 8,224. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE 525,326. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASS FROM OTHER INCOME 366,038. 1 HILLARY LYONS ASSOCIATES PO BOX 99 DIMONDALE MI 48821 CONSULTING 0 0 27000 0 27000 FUNDRAISING IS DONE THROUGH THE COLUMBIA MEMORIAL HOSPITAL FOUNDATION, EIN #93-1091701. COLUMBIA LUTHERAN CHARITIES PAID $27,000 TO HILLARY LYONS ASSOCIATES FOR CONSULTING SERVICES PROVIDED TO THE COLUMBIA MEMORIAL HOSPITAL FOUNDATION. COLUMBIA MEMORIAL HOSPITAL FOUNDATION ALSO PAID $27,000 TO HILLARY LYONS FOR CONSULTING UNDER THE SAME CONTRACT. 1 1 1 X 1 X 1 1 1 0 1 1 1175194 1175194 0.01830 7801071 7086400 714671 0.01110 8976265 7086400 1889865 0.02940 157257 157257 0.00240 13161 3700 9461 0.00010 1437624 604693 832931 0.01290 110162 110162 0.00170 1718204 608393 1109811 0.01710 10694469 7694793 2999676 0.04650 32852 32852 0.00050 32852 32852 0.00050 1 2514702 X 1 1 1 COASTAL HEALTH ASSURANCE PHYSICIAN ASSC. MEDICAL CONTRACTS 0.50000 0.50000 2 ASTORIA IMAGING LLC MRI JOINT VENTURE 0.51000 0.49000 3 1 COLUMBIA MEMORIAL HOSPITAL

2111 EXCHANGE STREET ASTORIA OR 97103

X X X X OTHER 2 ASTORIA IMAGING LLC

2111 EXCHANGE STREET ASTORIA OR 97103

MRI JOINT VENTURE 3 CMH HOME HEALTH AND HOSPICE

486 12TH STREET ASTORIA OR 97103

X HOME SERVICES COLUMBIA MEMORIAL HOSPITAL 1 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X 1 X X 1 X X X X 1 X 0 0 1 CMH PROFESSIONAL OFFICE BUILDING

2055 EXCHANGE STREET ASTORIA OR 97103

OFFICE SPACE LEASED TO PRIVATE HEALTHCARE PROVIDERS PART III, LINE 4: THE COLLECTION OF RECEIVABLES FROM THIRD-PARTY PAYERS AND PATIENTS IS THE HOSPITAL'S PRIMARY SOURCE OF CASH AND IS CRITICAL TO ITS OPERATING PERFORMANCE. WHEN THE HOSPITAL PROVIDES CARE TO PATIENTS, IT DOES NOT REQUIRE COLLATERAL; HOWEVER, IT MAINTAINS AN ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE PRIMARY COLLECTION RISKS RELATE TO UNINSURED PATIENT ACCOUNTS AND PATIENT ACCOUNTS FOR WHICH THE PRIMARY INSURANCE PAYOR HAS PAID, BUT PATIENT RESPONSIBILITY AMOUNTS (GENERALLY DEDUCTIBLES AND CO PAYMENTS) REMAIN OUTSTANDING. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS ESTIMATED BASED PRIMARILY UPON THE HOSPITAL'S HISTORICAL COLLECTION EXPERIENCE, THE AGE OF THE PATIENT'S ACCOUNT, MANAGEMENT'S ESTIMATE OF THE PATIENT'S ECONOMIC ABILITY TO PAY AND THE EFFECTIVENESS OF COLLECTION EFFORTS. PATIENT ACCOUNTS RECEIVABLE BALANCES ARE ROUTINELY REVIEWED IN CONJUNCTION WITH HISTORICAL COLLECTION RATES AND OTHER ECONOMIC CONDITIONS WHICH MIGHT ULTIMATELY AFFECT THE COLLECTIBILITY OF PATIENT ACCOUNTS WHEN CONSIDERING THE ADEQUACY OF THE AMOUNTS RECORDED IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.ACTUAL WRITE-OFFS HAVE HISTORICALLY BEEN WITHIN MANAGEMENT'S EXPECTATIONS. SIGNIFICANT CHANGES IN PAYOR MIX, BUSINESS OFFICE OPERATIONS, ECONOMIC CONDITIONS, OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE HOSPITAL'S COLLECTION OF PATIENT ACCOUNTS RECEIVABLE, CASH FLOWS, AND RESULTS OF OPERATIONS. PART III, LINE 8: AS A MISSION-DRIVEN HOSPITAL, HEALTHCARE SERVICES ARE OFFERED TO THE COMMUNITY EVEN WHEN THE COST OF THAT CARE IS KNOWN TO BE MORE THAN THE REVENUE THAT WILL BE RECEIVED. AS THE HOSPITAL ABSORBS THESE LOSSES FROM MEDICARE (DETERMINED BY THE RATIOS USED IN THE MEDICARE COST REPORT), THE ENTIRE COMMUNITY BENEFITS BECAUSE MANY OF THESE PROGRAMS/SERVICES WOULD NOT EXIST WITHOUT HOSPITAL SUPPORT. PART III, LINE 9B: PERSONAL PAY ACCOUNTS AND THE BALANCE AFTER INSURANCE ARE SUBJECT TO A MINIMUM PAYMENT SCHEDULE. IF THE PATIENT OR GUARANTOR IS UNABLE TO MEET THIS PAYMENT SCHEDULE, APPLICATION MAY BE MADE THROUGH PATIENT FINANCIAL SERVICES CREDIT AND COLLECTION CLERK'(S) AND OR THE PATIENT FINANCIAL SERVICES MANAGER FOR CHARITY, FINANCIAL ASSISTANCE, OR REDUCED PAYMENTS. COLUMBIA MEMORIAL HOSPITAL PART V, SECTION B, LINE 19D: A UNIFORM PERCENTAGE REDUCTION IN CHARGES IS ITEMIZED IN THE BILL FOR INDIVIDUALS WHO DO NOT HAVE INSURANCE. REPORTS FILED WITH STATES PART VI, LINE 7 OR 0 CLATSOP COMMUNITY COLLEGE 6540 LIBERTY LANE ASTORIA OR 97103 930505508 58936 SPONSORSHIPS ASTORIA BICENTENNIAL 101 15TH ST ASTORIA OR 97103 930453858 7500 SPONSORSHIP CITY OF ASTORIA 1095 DUANE ST ASTORIA OR 97103 936002118 7500 SPONSORSHIPS CLATSOP CARE CENTER HEALTH DISTRICT 947 OLNEY AVE ASTORIA OR 97103 930725041 5760 HOSPICE HOUSE SPONSORSHIP SHCEDULE I, PART I, LINE 2: A CMH EMPLOYEE IS ASSIGNED TO MANAGE THE GRANT REVENUE PROGRAM PER THE TERMS OF EACH GRANT AGREEMENT. THE ACCOUNTING DEPARTMENT KEEPS COPIES OF ALL GRANT AGREEMENTS, MAINTAINS DETAILED REVENUE AND EXPENDITURE RECORDS FOR EACH GRANT, AND ASSISTS IN THE PREPARATION OF ANY REQUIRED FINANCIAL REPORTING. X 1 1 X X X X 1 0 0 0 0 1 0 0 0 ROBERT HOLLAND 275745 0 10000 0 0 0 0 0 37580 0 323325 0 0 0 ERIK THORSEN 247274 0 24000 0 33246 0 23685 0 1635 0 329840 0 0 0 WILLIAM G RIVERS 154708 0 10000 0 5190 0 8244 0 29400 0 207542 0 0 0 RICHARD CRASS 342418 0 833 0 0 0 327 0 28835 0 372413 0 0 0 EDOUARD DURET 333752 0 0 0 0 0 6145 0 32319 0 372216 0 0 0 RANDALL JOHNSON 276286 0 0 0 0 0 250 0 16965 0 293501 0 0 0 WILLIAM LACOST 477020 0 0 0 38906 0 34990 0 35790 0 586706 0 0 0 LESLIE BLASEWITZ 133880 0 5000 0 101586 0 17028 0 15640 0 273134 0 0 0 PART I, LINE 1A ASTORIA GOLF AND COUNTRY CLUB DUES FOR OFFICER ERIK THORSEN WERE PAID BY THE ORGANIZATION. PART I, LINE 6 MANAGEMENT BONUSES ARE CONTINGENT ON THE NET EARNINGS OF THE ORGANIZATION. THE HOSPITAL FACILITIES AUTHORITY 270034718 046279BD6 2007-08-16 18880000 CONSTRUCTION & EQUIPMENT 0 0 0 18880000 219791 774925 546140 226835 18373574 63564 3 2010 0 0 1 1 0 0 0 1 0 1 0 1 0 0 0 0 WILLIAM C LACOST EDUCATION AND HOUSING ASSISTANCE X 120000 0 0 1 RANDY STEMPER CMH BOARD MEMBER 2186 OWNER OF ASTORIA BUILDER'S SUPPLY. COMPETITIVELY BID AGAINST OTHER SUPPLIERS FOR RICKENBACH CONSTRUCTION. RICHKENBACH CONSTRUCTION CONTRACTED WITH CMH FOR VARIOUS CONSTURCTION IN 2011. 0 HEATHER SEPPA CMH BOARD MEMBER 10206 PRESIDENT OF BANK OF ASTORIA WHERE THE HOSPITAL HAS SEVERAL BANK ACCOUNTS AND PAYS ROUTINE BANKING TRANSACTION FEES. 0 KEVIN BAXTER DO CMH BOARD MEMBER 72000 HOSPICE MEDICAL DIRECTOR - BAXTER FAMILY MEDICINE, MEDICAL DIRECTOR FOR LOWER COLUMBIA HOSPICE (PART OF COLUMBIA MEMORIAL HOSPITAL) 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF THE 990 IS MAILED TO THE BOARD OF TRUSTEES PRIOR TO THE BOARD MEETING. THE 990 IS REVIEWED AND DISCUSSED AT THE BOARD FINANCE COMMITTEE MEETING PRIOR TO FINALIZING AND FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF TRUSTEES, OFFICERS, AND KEY EMPLOYEES ANNUALLY. ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST SIGN AND DATE THE CONFLICT OF INTEREST POLICY ACKNOWLEDGEMENT, QUESTIONNAIRE, AND DISCLOSURE STATEMENT. ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST AT THE BOARD OR OFFICER LEVEL ARE DISCUSSED AT THE BOARD MEETING. ACTUAL CONFLICTS OF INTEREST ARE ADDRESSED, DOCUMENTED, AND FILED IN THE CONFIDENTIAL PERSONNEL FILE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF ALL OFFICERS WAS REVIEWED WITH COMPARABILITY DATA BY A THIRD PARTY CONSULTANT. THE RESULTS OF THE STUDY WERE REVIEWED AND DISCUSSED AT A BOARD OF TRUSTEES' MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL INFORMATION REPORTED IN THE 990 ARE AVAILABLE UPON REQUEST AT THE HOSPITAL. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -237,304. DEFINED BENEFIT RETIREMENT PLAN ADJUSTMENT -2,537,648. NET ASSETS RELEASED FROM RESTRICTION 8,224. TOTAL TO FORM 990, PART XI, LINE 5: -2,766,728. FROM 990, PART XI LINE 2C: THE BOARD OF TRUSTEE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT, REVIEW, AND SELECTION OF AN INDEPENDENT AUDIT FIRM. TRADITIONALLY, A THREE YEAR CONTRACT WITH A SELECTED AUDIT FIRM IS APPROVED. ANNUALLY, A SPECIAL BOARD MEETING IS HELD AND THE AUDIT FIRM PRESENTS THE AUDITED FINANCIAL STATEMENTS TO THE BOARD OF TRUSTEES. DURING THE MEETING, THE BOARD MEMBERS ARE GIVEN THE OPPORTUNITY TO ASK QUESTIONS WITHOUT MANAGEMENT PRESENT. FOLLOW-UP INFORMATION ON THE MANAGEMENT LETTER RECOMMENDATIONS IS ALSO PRESENTED SEMI-ANNUALLY TO THE BOARD FINANCE COMMITTEE. FORM 990 PART III, 4A: STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS KEY STATISTICS FOR 2011: INPATIENT ADMISSION INCLUDING NEWBORNS: 1,994 INPATIENT DAYS INCLUDING NEWBORNS: 5,221 SURGERY PATIENTS: 2,788 ANCILLARY VISITS: 38,492 LABORATORY TESTS: 129,090 IMAGING TOTALS: 33,806 CLINIC VISITS: 24,538 EMERGENCY & TRAUMA VISITIS: 12,613 URGENT CARE CLINIC VISITS: 5,870 HOME HEALTH VISITS: 3,245 HOSPICE PATIENT DAYS: 6,200 THE FOLLOWING ARE HIGHLIGHTS OF THE ACHIEVEMENTS IN EACH CATEGORY OF COLUMBIA MEMORIAL HOSPITAL'S MISSION STATEMENT. LEADERSHIP: IN THE PAST THREE YEARS, COLUMBIA MEMORIAL HOSPITAL (CMH) HAS REALIZED A 26% INCREASE IN THE NUMBER OF OUTPATIENT VISITS DUE TO THE ADDITION OF SEVERAL NEW CLINICS AND SERVICES INCLUDING: URGENT CARE, ORTHOPEDICS, UROLOGY, GENERAL SURGERY, PEDIATRICS, CARDIOLOGY, AND ONCOLOGY. CONSTRUCTION CONCLUDED IN 2010 ON THE REMODEL OF SURGERY, RECOVERY, ENDOSCOPY SUITE, SAME DAY SURGERY ROOMS, EMERGENCY ROOM, AND LABORATORY. ALL OF THE CONSTRUCTION CONTRACTS FOR THE CMH BUILDING AND REMODELING PROJECTS REQUIRE THE USE OF LOCAL CONTRACTORS AND BUSINESSES TO PROMOTE EMPLOYMENT AND STIMULATE THE LOCAL ECONOMY. CMH'S PATTERN OF GROWTH HAS ALSO BOOSTED EMPLOYMENT REALIZING AN 18% INCREASE IN FULL TIME EQUIVALENTS (FTES) SINCE 2008. SUCCESSFUL RECRUITMENT OF NEW PHYSICIANS PLAYED A CRITICAL PART IN INCREASING ACCESS TO HEALTHCARE LOCALLY. IN 2009 THROUGH 2011, TEN PHYSICIANS WERE RECRUITED INTO THE COMMUNITY. CARDIOLOGY SERVICES WHICH STARTED IN LATE 2010, WERE IN PLACE FOR THE ENTIRE YEAR OF 2011. CMH CONTINUES TO PLAY A CRUCIAL LEADERSHIP ROLE CONDUCTING NEEDS ASSESSMENTS, NETWORKING WITH OTHER LOCAL HEALTHCARE PROVIDERS AND COMMUNITY LEADERS, INCORPORATING NEEDS INTO LONG-TERM STRATEGIC PLANNING GOALS, AND ENSURING GOALS ARE REALIZED TO ENHANCE BOTH THE QUALITY AND QUANTITY OF HEALTHCARE SERVICES PROVIDED. EXCELLENCE: QUALITY IS THE NUMBER ONE PRIORITY AT CMH. THE HOSPITAL HAS A COMPREHENSIVE STRATEGIC PLANNING AND QUALITY IMPROVEMENT PROCESS. THE BOARD IS ACTIVELY ENGAGED AND RESPONSIBLE FOR THE OVERSIGHT OF BOTH INITIATIVES, MONITORED BY THE BOARD'S MULTI-DISCIPLINARY QUALITY OVERSIGHT COMMITTEE. EACH DEPARTMENT MANAGER ALSO HAS ACCOUNTABILITY IN THE PROCESS. PATIENT OUTCOMES AND OTHER QUALITY MEASURES ARE TRACKED AT THE DEPARTMENT LEVEL AND REPORTED ON A MONTHLY AND QUARTERLY BASIS TO THE ADMINISTRATIVE TEAM IN COMPARISON TO INTERNAL GOALS AND EXTERNAL BENCHMARKS. THE HOSPITAL PARTICIPATES IN THE HOSPITAL CONSUMER ASSESSMENT OF HEALTHCARE PROVIDERS AND SYSTEMS (HCAHPS) SURVEY EVEN THOUGH HCAHPS PARTICIPATION IS NOT MANDATORY FOR CAHS. CMH BECAME ACCREDITED BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP) EFFECTIVE FROM JULY 2011 THROUGH JUNE 2014. PRIOR TO THIS, CMH HAD BEEN ACCREDITED BY THE JOINT COMMISSION (JCAHO) SINCE NOVEMBER 2008. THIS IS NO SMALL TASK WITH THE INCREASED REQUIREMENTS TO PASS RIGOROUS QUALITY, SAFETY, AND COMPLIANCE AUDITS. SURVEYORS ARRIVE UNANNOUNCED TO VERIFY COMPLIANCE WITH INTERNAL POLICIES AS WELL AS WITH EXTERNAL REGULATIONS. PROVIDING AND PARTICIPATING IN EDUCATION OF PHYSICIANS, CMH EMPLOYEES, PATIENTS, VISITORS, AND COMMUNITY MEMBERS IS ANOTHER VITALLY IMPORTANT GOAL FOR CMH. SOME EXAMPLES OF EDUCATIONAL ACTIVITIES PROVIDED BY CMH INCLUDE: HEALTH OCCUPATIONS COURSES IN LOCAL HIGH SCHOOLS, JOB SHADOWING OPPORTUNITIES FOR STUDENTS, CLINIC SETTING FOR COLLEGE AND JOB CORPS CNA/CMA TRAINING, HEALTH FAIRS AND HEALTH SCREENING OPPORTUNITIES, EDUCATIONAL ARTICLES IN THE QUARTERLY NEWSLETTERS, "WIREDMD" ACCESS ON CAMPUS FOR PATIENTS AND VISITORS, EDUCATIONAL BROCHURES, AND COMMUNITY "DOC TALKS" ON VARIOUS MEDICAL CONDITIONS. CMH ENCOURAGES AND SUPPORTS EMPLOYEES IN OBTAINING HIGHER LEVEL CERTIFICATIONS AND ADVANCED DEGREES TO PROMOTE EXCELLENCE THROUGH EDUCATION IN THE YEARS TO COME. COMPASSION: CMH HAS ADOPTED THE "PLANETREE" PATIENT-CENTERED PHILOSOPHY TO PERSONALIZE, HUMANIZE, AND DEMYSTIFY THE HEALTHCARE EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. CMH AND PLANETREE PROMOTE THE DEVELOPMENT AND IMPLEMENTATION OF INNOVATIVE MODELS OF HEALTHCARE THAT FOCUS ON HEALING AND NURTURING THE BODY, MIND, AND SPIRIT. CMH HAS IMPLEMENTED THE FOLLOWING INNOVATIVE SOLUTIONS TO ENHANCE THE HEALTHCARE EXPERIENCE AT OUR HOSPITAL; CARE PARTNERS, PET THERAPY, MASSAGE, REIKI, TAI CHI, MUSIC, ARTWORK, AROMATHERAPY, HEALING GARDEN, ROOM SERVICE, AND A FAMILY ROOM. SEVERAL TEAMS OF STAFF MEMBERS MEET REGULARLY TO EXPLORE AND DEVELOP NEW WAYS TO ENHANCE THE HEALING ENVIRONMENT AND OFFER COMPASSION AND SUPPORT TO PATIENTS AND THEIR FAMILIES. A PATIENT ADVISORY COMMITTEE CONSISTING OF LOCAL CITIZENS MEETS REGULARLY TO HELP EMBED THE PATIENTS PERSPECTIVE INTO DECISIONS MADE TO IMPROVE THE PATIENT-CENTERED DIRECTION OF CMH. COLUMBIA MEMORIAL HOSPITAL FOUNDATION 2111 EXCHANGE STREET ASTORIA OR 97103 931091701 FUNDRAISING FOR THE HOSPITAL OR 501(C)3 1 COLUMBIA MEMORIAL HOSPITAL AUXILIARY 2111 EXCHANGE STREET ASTORIA OR 97103 931306211 PROVIDE VOLUNTEERS OR 501(C)3 0 ASTORIA IMAGING LLC 2111 EXCHANGE STREET ASTORIA OR 97103 800240381 MRI JOINT VENTURE OR RELATED 517671 1737628 0 0 0.51000 COASTAL HEALTH ASSURANCE 2111 EXCHANGE STREET ASTORIA OR 97103 911818894 PHO OR -175 21145 0 0 0.49000 0 1 1 0 0 0 0 0 1 1 0 1 1 1 1 1 0 0 COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION) B 132324 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION (IN-KIND CONTRIBUTION SALARY EXP) N 154709 ACTUAL ASTORIA IMAGING LLC (SALARY EXPENSE FOR MRI MNGMT TECHS & REGISTRATION) N 266704 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION C 8224 ACTUAL COLUMBIA MEMORIAL HOSPITAL FOUNDATION P 113075 ACTUAL